Application documents include: Flyer describing the Home Ownership Program. Application Form A and Form B. Self-employment Affidavit

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1 Thank you for showing interest in the Oakland County Homeownership Program. The Oakland County HOME Program is geared toward people who are interested in owning a home but may not think they have the credit score or income to accomplish that goal. This program is federally funded and administered through the county which is designed exclusively to create affordable housing for low to moderate income households. The Oakland County HOME Program, all homes undergo extensive rehab to ensure the home is maintenance-free for at least five years. This rehab work can consist, but not limited to: new roof, doors, flooring, kitchen appliances, updated plumbing and electrical, cabinetry, etc. In addition, Oakland County grants each approved applicant homebuyer s assistance which helps fill the financial gap between their mortgage loan and home purchase price. Application documents include: Flyer describing the Home Ownership Program Application Form A and Form B Self-employment Affidavit Eligibility Screening Form Credit Check and Privacy Disclosure Form OC Home Additional Information Business For-Self Affidavit Income Verification Affidavit U.S. Citizen/ Permanent Resident Alien Form Program Qualifications All approved applicants must meet the following requirements:

2 1. Pre-approval letter from a lender of your choice. a. It is recommended that you have a tri-merge credit score of at least 620. b. If you are finding it difficult to secure a pre-approval, we can connect you with financial institutions that we have previously worked with. 2. Maximum household income is no greater that 80% area median income (see flyer for chart) 3. Must provided a minimum of 1% of personal funds at closing. 4. NO bankruptcies or foreclosure within the last two years. 5. Complete the MSHDA Homebuyer Education Class (offered at Community Housing Network Inc.). Application Print out ALL application forms and complete with the appropriate information. Provide ALL requested and applicable documentation. Homebuyer Education Class As a nonprofit agency we provide MSHDA Homebuyer Education classes at a small registration fee of $10 per person. As a part of the Oakland County Homeownership (HOME) Program it is required that you take this homebuyer education class. Please contact Maddie Jaks, Housing Counseling Supervisor, to sign up for one of the classes. Her contact information is mjaks@chninc.net or (248) You can sign up for this class before or after you submit your application. Please note, Oakland County cannot make a final decision on your application until the class has been completed.

3 The reviewing proces can be very complex, we ask that you please fill out the application completely and gather all of the documents together before you submit your application. Please , postal mail, fax, or hand-deliver all required materials. If you are mailing your application, please send to our Troy office: Community Housing Network Attn: Anita Davis 570 Kirts, Suite 231 Troy, MI Fax number (248) ; please include cover page with attention the to Anita Davis, and the number of pages. Please contact Anita Davis if you have questions about the forms or program requirements. is the easiest way to get a hold of Mrs. Davis, at ADavis@chninc.net, but feel free to call

4 CURRENT ADDRESS Street HOMEBUYERS ASSISTANCE PROGRAM APPLICATION Form A City/State/Zip Code PHONE NUMBERS: HOME ( ) CELL ( ) MESSAGE ( ) WORK Applicant ( ) WORK Co-Applicant ( ) APPLICANT CO-APPLICANT NAME Male Female NAME Male Female BIRTH DATE BIRTH DATE SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER MARRIED SEPARATED UNMARRIED incl.single,divorced,widowed EMPLOYMENT INFORMATION MARRIED SEPARATED UNMARRIED incl.single,divorced,widowed EMPLOYMENT INFORMATION EMPLOYER Address EMPLOYER Address Occupation Date Hired I am Paid: Weekly Bi-Weekly Twice Monthly I Work: Full Time Part Time Hours Worked/ Pay Gross Wages/Pay $ 2 nd EMPLOYER Address Occupation Date Hired I am Paid: Weekly Bi-Weekly Twice Monthly I Work: Full Time Part Time Hours Worked/ Pay Gross Wages/ Pay $ Occupation Date Hired I am Paid: Weekly Bi-Weekly Twice Monthly I Work: Full Time Part Time Hours Worked/ Pay Gross Wages/ Pay $ 2 nd EMPLOYER Address Occupation Date Hired I am Paid: Weekly Bi-Weekly Twice Monthly I Work: Full Time Part Time Hours Worked/Pay Gross Wages/ Pay $ Income from all sources for all household members, including unrelated persons Social Security $ per month Child Support $ per month Pension $ per month Spousal Support $ per month Rental $ per month Parsonage Allowance $ per month Land Contract $ per month Other, describe $ per month Total number in Household (including applicant & Co-applicant) List ages of all persons residing in household: Are any individuals 18 and over, (excluding applicant and Co-applicant) Full-time students? Yes No If yes, submit proof of enrollment. Employed? Yes No If yes, submit a copy of their most recent check stub.

5 Company : Address : Company : Address: List your Existing Debts Current Balance $ $ $ $ Monthly Payment Company: Address: $ $ Have you declared Bankruptcy in the last 7 years? Yes No If yes, indicated the type: Chapter 7 Chapter 13 Open Date Closed THE FOLLOWING INFORMATION IS OBTAINED FOR STATISTICAL REPORTING ONLY SINGLE RACE MULTI-RACE Complete for Head of Household only Complete for Head of Household only White Black/African American Asian American Indian/Alaskan Native Hawaiian/Other Pacific Islander Black/African American & White Asian & White American Indian/Alaskan Native & White American Indian/Alaskan Native & Black/African American Other Multi-racial HISPANIC Complete for Head of Household Only Yes No Number of HANDICAPPED PERSON/S in household? Number of UNRELATED PERSON/S living in household? IMPORTANT, READ THIS BEFORE SIGNING FINANCIAL PRIVACY NOTICE: By the Right to Financial Privacy Act of 1978, Oakland County Community & Home Improvement has a right to access financial records held by any financial institution in connection with the consideration or administration of the Home Improvement Loan Program for which you have applied. Financial records involving your transactions will be available without further notice or authorization but will not be disclosed or released to another government agency or department without your consent except as required or permitted by law. APPLICANTS CERTIFICATION: The applicant certifies that all information in this application, and all information furnished in support of this application is for the purpose of income qualifying for the HOME Program-Homebuyer Assistance Progaram, and that these statements are true to the applicants knowledge and belief. PENALTY FOR FALSE OR FRAUDULENT STATEMENT: U.S.C. Title 18, Sec. 1001, provides: Whoever, in any matter within the jurisdiction of any department or agency of the United Sates knowingly and willfully falsifies...or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing, or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years, or both." Applicants Signature: Date: Co-Applicant s Signature: Date:

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7 HOMEBUYERS ASSISTANCE PROGRAM DOCUMENTATION REQUIRED Form B YOU MUST SUBMIT COPIES OF THE FOLLOWING DOCUMENTATION. DO NOT MAIL ORIGINAL DOCUMENTS INCOME TAX FORMS FEDERAL INCOME TAX FORMS,a complete copy (all pages) of your most recently filed, signed and dated including W2 forms, 1099 forms and STATE OF MICHIGAN INCOME TAX FORMS, most recently filed, signed and dated, W2 forms, 1099 forms and schedules If you are self employed, please submit 2 years tax forms. Both Federal and State. CURRENT HOUSEHOLD INCOME SUBMIT COPIES OF THE DOCUMENTATION THAT APPLIES TO YOUR HOUSEHOLD. WE ARE REQUIRED TO CONSIDER THE INCOME FROM ALL SOURCES FOR ALL HOUSEHOLD MEMBERS, INCLUDING UNRELATED PERSONS. EMPLOYMENT If you or any adult (18 years of age or older) living in the household is employed, submit a copy of their last 3 months of payroll check stub/s UNEMPLOYMENT If you or any adult (18 years of age or older) living in the household is unemployed, submit documentation of Unemployment Benefits Payments. The information is available at (select) Online applications available. (select) UIA Online Services for Unemployed Workers; or a copy of your unemployment Benefit Award Letter. SOCIAL SECURITY BENEFITS, submit a copy of the following: Annual Social Security award letter If you do not have any of the above items you can phone the social security office at (800) and ask them to send you documentation of your benefits. NOTE: You must document the Social Security Benefits for all household members receiving Social Security Benefits PENSION or DISABILITY, submit a copy of the most recent check stub CHILD SUPPORT, submit a copy of a child support payment history for the last 6 months, known as court Order Information Report, which can be obtained in person at the Oakland County Friend of the Court, Banking Dept., 230 Elizabeth Lake Rd, Pontiac, MI or request by phone toll free at ext FULL-TIME STUDENT, any household member 18 or older, excluding borrower and co-borrower, submit proof of enrollment ex: current report card, current student registration form. If employed, submit copies of their last 3 check stubs. PUBLIC ASSISTANCE, submit a copy of most recent Budget Letter or Family Independence Agency Quarterly Statement. Foster care payments are excludable. SOLE PROPRIETOR BUSINESS submit a Profit and Loss Statement, for the current year PARTNERSHIP OR S CORPORATION INCOME, submit a copy of your Schedule K-1, for the current year MAIL YOUR APPLICATION AND SUPPORTING DOCUMENTATION TO:

8 Oakland County Community & Home Improvement Division HOME Program Certification U.S. Citizen/ Permanent Resident Alien Notice to Applicants In order to be eligible to receive assistance under the Homebuyer Program through the Oakland County Community & Home Improvement Division (OCCHI), each family member must be lawfully within the United States. Please read the Declaration statement carefully. Please feel free to consult with an immigration lawyer or other immigration expert of your choosing. Instructions to complete form: Print or type first name, middle initial(s) and last name. Place an X in the appropriate boxes. Sign and date at bottom of page. I, certify, under penalty of perjury, 1 that, to the best of my knowledge, I am lawfully within the United States because (please check the appropriate box): [ ] I am a citizen by birth, a naturalized citizen or national of the United States; or [ ] I have eligible immigration status as checked below. Attach INS document(s) evidencing eligible immigration status and signed verification consent form. [ ] Immigrant status under 101(a)(15) or 101(a)(20) of the INA 3 ; or [ ] Permanent residence under 249 of the INA 4 ; or [ ] Refugee, asylum, or conditional entry status under 207, 208 or 203 of the INA 5 ; or [ ] Parole status under 212(d)(f) of the INA 6 ; or [ ] Threat to life or freedom under 243(h) of the INA 7 ; or [ ] Amnesty under 245 of the INA 8 ; Signature of Family Member Date [ ] Check box on left if signature is of adult residing in the unit who is responsible for child named on statement above. OCCHI: Enter INS/SAVE Primary Verification # ; Date: CHDO-PreCon Homebuyer 10/2015

9 (1) PENALTY FOR FALSE OR FRAUDULENT STATEMENT: U.S.C. Title 18, Sec. 1001, provides: Whoever, in any matter within the jurisdiction of any department or agency of the United Sates knowingly and willfully falsifies...or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing, or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years, or both. The following footnotes pertain to noncitizens that declare eligible immigration status in one of the following categories: (2) Eligible immigration status and 62 years of age or older. For noncitizens who are 62 years of age or older or who will be 62 years of age or older and receiving assistance under a Section 214 covered program on June 19, If you are eligible and elect to select this category, you must include a document providing evidence or proof of age. No further documentation of eligible immigration status is required. (3) Immigrant status under 101(a)(15) or 101(a)(20) of INA. A non citizen lawfully admitted for permanent residence as defined by 101(a)(20) of the Immigration and Nationality Act (INA), as an immigrant as defined by 101(a)(15) of the INA ( U.S.C (a)(20) and 1101(a)(15) respectively[immigrant status]. This category includes a noncitizen admitted under 210 or 210A of the INA ( U.S.C or 1161), [special agricultural worker status] who has been granted lawful temporary resident status. (4) Permanent residence under 249 of INA. A noncitizen who entered the U.S. before January 1, 1972, or such later date as enacted by law, and has continuously maintained residence in the U.S. since then and who is not ineligible for citizenship, but who is deemed to be lawfully admitted for permanent residence as a result of an exercise of discretion by the Attorney General under 249 of the INA ( U.S.C. 1259) [amnesty granted under INA 249]. (5) Refugee, asylum or conditional entry status under 207, 208, or 203 of INA. A non citizen who is lawfully present in the U.S. pursuant to an admission under 207 of the INA ( U.S.C. 1157) [refugee status]: pursuant to the granting of asylum (which has not been "terminated" under 208 of the INA ( U.S.C. 1158) [asylum status]: or as a result of being granted conditional entry under 203(a)(7) of the INA ( U.S.C. 1153(a)(7)) before April 1, 1980, because of persecution or fear of persecution on account of race, religion, or political opinion or because of being uprooted by catastrophic national calamity [conditional entry status]. (6) Parole status under 212(d)(5) of INA. A noncitizen who is lawfully present in the U.S. as a result of an exercise of discretion by the Attorney General for emergent reasons or reasons deemed strictly in the public interest under 212(d)(5) of the INA ( U.S.C. 1182(d)(5)) [parole status]. (7) Threat to life or freedom under 243(h) of INA. A non citizen who is lawfully present in the U.S. as a result of the Attorney General's withholding deportation under 243(h) of the INA ( U.S.C. 1253(h) [threat to life or freedom]. (8) Amnesty under 245A of INA. A non citizen lawfully admitted for temporary or permanent residence under 245A of the INA ( U.S.C. 1255a) [amnesty granted under INA 245A]. CHDO-PreCon Homebuyer 10/2015

10 CREDIT REPORT AUTHORIZATION AND PRIVACY DISCLOSURE FORM I hereby authorize and instruct Community Housing Network, Inc. (CHN) to obtain and review my credit report. My credit report will be obtained from a credit-reporting agency chosen by CHN. I understand and agree that CHN intends to use the credit report for the sole purposes of evaluating my financial readiness to purchase a home, and assisting me to complete the purchase of a home. CHN is not acting as agent to any lending institution or representing an agent of any lending institution. CHN will not make any determination of credit worthiness as it relates to approval or denial of any loan I apply for. In addition, in connection with determining my ability to obtain a loan; I authorize I do not authorize CHN to share my credit report, and any information that I have provided, with certified nonprofit housing counselors at CHN, for the purpose of providing housing and credit counseling services in connection with my potential home purchase, and to Oakland County Community and Home Improvement Department as part of the documentation submission required to generate a homebuyer assistance note, should I enter into a purchase agreement for a home. I understand that I may revoke my consent to these disclosures by notifying CHN in writing. Client s Name (Print) Client s Signature Client s Social Security Number Client s Name (Print) Client s Signature Client s Social Security Number Date: Date: Current Address: Current Address: Please Fax or to Anita Davis Fax: or adavis@chninc.net

11 Community Housing Network Inc. Oakland County HOME Program Income Verification Affidavit Date: Applicant: To determine eligibility for the Oakland County Home Program, Federal Guidelines require we consider the income of all household members 18 years and older. VERIFICATION OF INCOME FOR: 1. Are you employed? Yes No If yes, submit a copy of last three (3) months payroll check stubs. 2. Do you receive Unemployment Benefits? Yes No If yes, submit a copy of your Benefit Award letter which has the amount you receive each week. If no, Date you received your last unemployment check (if applicable) Date you became unemployed. 3. Are you self-employed? Yes No If yes, complete and return the attached Business-For-Self Affidavit. 4. Are you receiving financial assistance (ex: Social Security, Disability, Pension, etc.,) Yes No If yes, submit documentation of assistance you receive. 5. List other sources of income; CERTIFICATION: This statement is true to the best of my knowledge and belief. PENALTY FOR FALSE OR FRAUDULENT STATEMENT: U.S.C. Title 18, Sec provides: Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing, or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years, or both. Household Member s Signature Applicant s Signature Date Date

12 0AKLAND COUNTY COMMUNITY & HOME IMPROVEMENT BUSINESS FOR - SELF AFFIDAVIT Name: Address: Case No. Business Name: Business Address: Type of Business: INCOME FROM BUSINESS TRANSACTED This business has been closed. I no longer have self-employment income. From January 1, 2013 through. (Current Date) Year-to-date Gross Income Business related expenses (1) Company car and truck expenses $ (2) Office expenses $ (3) Cost of Materials and Supplies $ (4) Business property (a) Rent or Mortgage for business property NOTE: We do not deduct for depreciation and we do not deduct for the household expenses for running your business from your home (ex: mortgage, utilities, etc. $ (b) Utilities for the business property $ (c) Machinery, and equipment $ (5) Employee Wages/salaries $ (Do not include owner salary) (a) Employee Benefits $ (b) Federal Withholding Tax $ (c) State Withholding Tax $ (d) FICA $ (6) Taxes and Licenses $ (7) Other $ $ TOTAL EXPENSES Year-to-date estimated profit (Net Income) $ $ ( ) $ Do you receive a salary from this Business YES No Amount $ CERTIFICATION: This statement is true to the best of my knowledge and belief. PENALTY FOR FALSE OR FRAUDULENT STATEMENT: U.S.C. Title 18, Sec. 1001, provides: Whoever, in any matter within the jurisdiction of any department or agency of the United Sates knowingly and willfully falsifies...or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing, or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than 5 years, or both." Signature: Date Signed

13 Policy Intake Sole Proprietor (BFS) Estimated Annual Income During January, February and March most companies have not completed a Profit/Loss Statement as many of the bills for their expenditures have not been received and/or paid and they may not have received payment for the work they performed. Therefore, to determine the Estimated Annual Business-for-Self Income during the first quarter each calendar year (January through March) we will use the current years Federal Income Tax Profit and Loss Statement, to determine their business-for-self earnings. The applicant must complete the enclosed Business-for-Self affidavit, If the applicant has self employment earnings from April through December during the current calendar year. Policy Intake Business-for-Self revised

14 OC HOME Initial Eligibility Screening Name(s): Address: Daytime Phone: Evening Phone: Address: Notes/Explanations List names and ages (including yourself): How many members are there in your household? Do you intend to own and reside in the home for at least 5 years? Y N What is your middle credit score? How much do you have saved for a down payment? How much on average do you and all coapplicants pay each month toward debt (car loans, student loans, credit card payments, medical bills, etc.) Have you and all co-applicants been steadily employed for the last 2 years? Y N Student loan deferred Yes or No If No please explain: Have you or any co-applicants filed for bankruptcy in the last 2 years? Y N If Yes, discharge date: Have you or any co-applicants been foreclosed in the last 3 years? Y N If Yes, date of Sheriff s Sale: Do you or any co-applicants have any federal or state income tax liens? Y N Do you or any co-applicants have any past due child support obligations? Y N How did you find out about this opportunity?

15 MC HOME Additional Information Please include this document with your application. 1. Please check whether you rent or own your current place of residence: Rent Own 2. If you chose rent please include a Rental Reference: this would be the name and contact information of someone from whom you ve rented from. Name of landlord: Phone Number: Address: 3. Below provide the highest level of education you have completed: 4. Please attach a photo copy of your social security card so we can verify your SSN on your application.